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An ortho­pe­dic col­lar, a neck brace, a neck brace and a head brace are all dif­fer­ent names for the same device, bet­ter known as the Shantz col­lar. The design real­ly resem­bles a very tight col­lar that rests on the low­er jaw, and on the oth­er hand, on the clav­ic­u­lar region and shoul­ders.

Ini­tial­ly, the Shants col­lar was intend­ed to fix the neck in case of frac­tures, so that the cer­vi­cal ver­te­brae would grow togeth­er cor­rect­ly.^one. But over time, the list of indi­ca­tions for him has expand­ed sig­nif­i­cant­ly: now the Shants col­lar is used for cer­vi­cal osteo­chon­dro­sis, cer­vi­cal myosi­tis, inter­ver­te­bral her­nia, neck pain and pos­ture dis­or­ders^one. Var­i­ous vari­a­tions of the Shants col­lar also appeared: soft, hard and very hard mod­els.

A doc­tor usu­al­ly helps to choose the opti­mal mod­el, since dif­fer­ent prob­lems with the spine require dif­fer­ent degrees of fix­a­tion. For exam­ple, soft­er mod­els are designed more for the pre­ven­tion of osteo­chon­dro­sis and mus­cle relax­ation, while hard mod­els are suit­able for ther­a­peu­tic pur­pos­es.^one.

Rating of the top 10 Shants collars for cervical osteochondrosis for adults

1. Orlett BN6-53

This Shants col­lar comes in sev­er­al sizes for kids and adults. An inex­pen­sive mod­el with a medi­um degree of fix­a­tion, with the help of which the desired posi­tion of the neck is main­tained, ten­sion is relieved and blood flow improves. The col­lar is made of hypoal­ler­genic mate­ri­als, and its anatom­i­cal shape is designed for a per­fect fit.

Mate­r­i­al: polyurethane foam, vis­cose.

Degree of fix­a­tion: semi-rigid.

Pur­pose:

• reha­bil­i­ta­tion after oper­a­tions and injuries in the cer­vi­cal spine;
• severe pain in osteo­chon­dro­sis and oth­er degen­er­a­tive dis­eases of the cer­vi­cal region;
• exten­sive dam­age to the soft tis­sues of the neck;
• pre­ven­tion of frac­tures of the cer­vi­cal ver­te­brae in osteo­poro­sis or metas­tases in the cer­vi­cal spine;
• impaired func­tion­ing of the brain due to weak­en­ing of blood flow in the basi­lar or ver­te­bral arter­ies;
• pro­longed mus­cle ten­sion when work­ing at a com­put­er and oth­er sta­t­ic loads.

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2. Ecoten OB

Sim­ple and easy-to-use anatom­i­cal­ly shaped mod­el. The prod­uct is easy to care for with a remov­able cov­er made of cot­ton fab­ric, which can be removed and washed. Thanks to this neck col­lar, the neck is kept warm and at rest.

Mate­r­i­al: polyurethane foam, cot­ton.

Degree of fix­a­tion: soft.

Pur­pose:

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• cer­vi­cal osteo­chon­dro­sis;
• myosi­tis;
• vio­la­tion of cere­bral cir­cu­la­tion;
• pro­longed mus­cle ten­sion when work­ing at a com­put­er and oth­er sta­t­ic loads.

3. Komf-Ort K‑80–06

Komf-Ort K‑80–06 is a soft-fix Shants col­lar mod­el, which is often pre­scribed for pre­ven­tive pur­pos­es for peo­ple who work at a com­put­er for a long time, etc. The neck col­lar pro­motes mus­cle relax­ation and restores prop­er blood cir­cu­la­tion.

Mate­r­i­al: foam, 100% cot­ton.

Degree of fix­a­tion: soft.

Pur­pose:

• reha­bil­i­ta­tion after injuries and oper­a­tions on the cer­vi­cal spine;
• pain in osteo­chon­dro­sis, spondy­lo­sis, spondy­larthro­sis;
• pre­ven­tion of exac­er­ba­tions of chron­ic dis­eases of the cer­vi­cal spine.

4. Push care Neck Brace

This mod­el of the Shants col­lar pro­vides mod­er­ate fix­a­tion of the cer­vi­cal spine. The foam it’s made of is stiff enough to pro­vide sup­port. But the anatom­i­cal shape and hypoal­ler­genic mate­ri­als make it very com­fort­able to wear.

Mate­r­i­al: Sym­press™ foam, microfiber.

Degree of fix­a­tion: semi-rigid.

Pur­pose:

• reha­bil­i­ta­tion after injuries and oper­a­tions of the cer­vi­cal spine;
• mild arthro­sis of the cer­vi­cal spine;
• cer­vi­cal osteo­chon­dro­sis;
• pro­longed ten­sion of the neck mus­cles when trav­el­ing in trans­port, work­ing at a com­put­er;
• increased mobil­i­ty of the cer­vi­cal ver­te­brae.

5. Trives TV-090

Col­lar Shants rigid fix­a­tion. The mod­el con­sists of two parts and is made of hypoal­ler­genic water­proof EVA mate­r­i­al. Plas­tic ele­ments give the col­lar the nec­es­sary rigid­i­ty. The cer­vi­cal ortho­sis is suit­able for the pre­ven­tion and treat­ment of osteo­chon­dro­sis, for reha­bil­i­ta­tion after com­pli­cat­ed and uncom­pli­cat­ed frac­tures of the cer­vi­cal ver­te­brae, oper­a­tions on the cer­vi­cal spine. Stim­u­lates prop­er blood cir­cu­la­tion. The mod­el is fixed with Vel­cro and straps and is addi­tion­al­ly equipped with a hole above the tra­chea.

Mate­r­i­al: EVA plas­tic.

Degree of fix­a­tion: hard.

Pur­pose:

• injuries of the cer­vi­cal spine;
• frac­tures of the cer­vi­cal ver­te­brae;
• severe dam­age to the mus­cles or lig­a­ments of the neck;
• reha­bil­i­ta­tion after injuries or oper­a­tions on the cer­vi­cal spine;
• osteo­chon­dro­sis of the cer­vi­cal spine with radic­u­lar syn­drome;
• insta­bil­i­ty in the cer­vi­cal spine.

6. F‑322/warhead crate

This mod­el of the Shants col­lar pro­vides an aver­age degree of fix­a­tion of the cer­vi­cal spine and head. The col­lar unloads the mus­cles and lig­a­ments of the depart­ment and inter­ver­te­bral discs, improves blood cir­cu­la­tion in the cer­vi­cal region and head. After mas­sage ses­sions and man­u­al ther­a­py, it helps to con­sol­i­date the achieved result.

Mate­r­i­al: polyurethane foam, cot­ton.

Degree of fix­a­tion: semi-rigid.

Pur­pose:

• insta­bil­i­ty of the cer­vi­cal spine;
• osteo­chon­dro­sis and spondy­larthro­sis with pain and radic­u­lar syn­drome;
• syn­drome of ver­te­brobasi­lar insuf­fi­cien­cy with headaches and dizzi­ness;
• reha­bil­i­ta­tion after injuries and oper­a­tions on the cer­vi­cal spine;
• sprains, bruis­es, myosi­tis, inter­ver­te­bral her­nia of the cer­vi­cal spine;
• mild osteo­poro­sis;
• reha­bil­i­ta­tion after trau­mat­ic brain injury;
• pre­ven­tion of mus­cle strain dur­ing pro­longed seden­tary work, on trips.

7. Orlett NB-106

The main fea­ture of this mod­el is the abil­i­ty to change the degree of fix­a­tion from strong to medi­um with the help of an addi­tion­al remov­able plas­tic splint. Due to this, the col­lar can be used in the phased treat­ment and reha­bil­i­ta­tion of lesions of the cer­vi­cal spine. The ortho­sis, anatom­i­cal­ly cor­re­spond­ing to the con­tour of the neck, sup­ports the neck and head in the cor­rect posi­tion, relieves mus­cles and lig­a­ments, improv­ing blood cir­cu­la­tion in the cer­vi­cal spine and brain.

Mate­r­i­al: foam rub­ber, tex­tiles, plas­tic.

Degree of fix­a­tion: vari­able — from hard to semi-hard.

Pur­pose:

• osteo­chon­dro­sis and oth­er degen­er­a­tive dis­eases of the cer­vi­cal spine with severe pain;
• reha­bil­i­ta­tion after oper­a­tions and injuries on the cer­vi­cal spine;
• ver­te­brobasi­lar insuf­fi­cien­cy;
• myosi­tis;
• the threat of frac­ture of the cer­vi­cal ver­te­brae in osteo­poro­sis and metas­tases of the cer­vi­cal spine;
• exten­sive lesions of the soft tis­sues of the neck.

8. Haobangyiliao HB-A01 with lock

This unusu­al mod­el is an inflat­able col­lar, into which air is pumped with a spe­cial pear. The degree of fix­a­tion can be adjust­ed: by grad­u­al­ly inflat­ing the col­lar, we stretch the dis­tance between the cer­vi­cal ver­te­brae, improv­ing blood flow. The mod­el is easy to han­dle at home and on the road. The neck col­lar is equal­ly com­fort­able to sit, walk and lie down.

Mate­r­i­al: tex­tiles, plas­tic.

Degree of fix­a­tion: vari­able.

Pur­pose:

• var­i­ous types of osteo­chon­dro­sis;
• cer­vi­cal spine injuries and con­cus­sion;
• dis­place­ment of the ver­te­brae;
• degen­er­a­tive changes in the inter­ver­te­bral car­ti­lage of the neck;
• pain and dis­com­fort asso­ci­at­ed with ten­sion in the neck mus­cles, numb­ness of the hands, the ini­tial stage of sco­l­io­sis, etc.;
• dizzi­ness, headaches;
• restora­tion of the cer­vi­cal region after sports train­ing and injuries.

9. Health technology NB-HT adult

This mod­el of the Shants col­lar is intend­ed for unload­ing and fix­ing the cer­vi­cal spine. The col­lar secure­ly fix­es the head and neck in the opti­mal posi­tion, improves blood cir­cu­la­tion in the tis­sues of the head and neck, and also reduces ten­sion in the mus­cles of the neck and shoul­der gir­dle.

Mate­r­i­al: foam rub­ber, tex­tiles.

Degree of fix­a­tion: semi-rigid.

Pur­pose:

• reha­bil­i­ta­tion after injuries and oper­a­tions of the cer­vi­cal spine;
• mild cer­vi­cal defor­mi­ties;
• myosi­tis of var­i­ous eti­olo­gies;
• neu­ro­log­i­cal pain of var­i­ous eti­olo­gies;
• mod­er­ate­ly severe dam­age to the lig­a­ments and mus­cles of the cer­vi­cal spine;
• osteo­chon­dro­sis;
• spondy­larthro­sis and spondy­lo­sis;
• dis­place­ment and increased mobil­i­ty of the ver­te­brae;
• sco­l­io­sis.

10. Fosta F 9010b

Anoth­er mod­el of an inflat­able cer­vi­cal col­lar, con­sist­ing of three air-filled cham­bers con­nect­ed to each oth­er. The design allows you to adjust the height using a spe­cial pear blow­er. The col­lar is made of pleas­ant syn­thet­ic mate­r­i­al and is designed to relieve stress from the cer­vi­cal mus­cles, lig­a­ments and ver­te­brae. With the help of the col­lar, you can also reg­u­late cer­vi­cal lor­do­sis (bend­ing of the spine that occurs against the back­ground of the pres­ence of tumors, inflam­ma­to­ry process­es of the spinal col­umn) and car­ry out a slight stretch­ing of the cer­vi­cal region.

Mate­r­i­al: poly­ester, PVC.

Degree of fix­a­tion: soft.

Pur­pose:

• dis­place­ment of discs and ver­te­brae of the cer­vi­cal region;
• osteo­chon­dro­sis;
• angiopa­thy;
• recov­ery from neck injuries.

How to choose a Shants collar for cervical osteochondrosis

The choice of the opti­mal mod­el begins with a con­sul­ta­tion with a doc­tor. The spe­cial­ist will deter­mine what degree of fix­a­tion — rigid, semi-rigid or soft — is nec­es­sary.

Then you need to take mea­sure­ments to choose the exact size of the Shants col­lar. Ide­al­ly, it is bet­ter if the doc­tor takes mea­sure­ments, but you can do it your­self using a reg­u­lar cen­time­ter tape. What do we mea­sure?

• neck height (dis­tance between the mid­dle of the col­lar­bone and the extreme point of the low­er jaw);
• neck cir­cum­fer­ence (neck cir­cum­fer­ence);

The obtained mea­sure­ments are com­pared with the table of neck brace man­u­fac­tur­ers (every­one has them). For inflat­able mod­els, mea­sure­ments are not required.

In some phar­ma­cies and spe­cial­ized stores, the Shants col­lar can be tried on with­out unpack­ing it from the plas­tic bag. Take advan­tage of this oppor­tu­ni­ty — the col­lar will have to be worn for more than one day.

We pay atten­tion to the qual­i­ty of the mate­r­i­al, the reli­a­bil­i­ty of the fas­ten­ers. The col­lar should not rub the skin, put too much pres­sure on the neck, inter­fere with swal­low­ing and move­ment of the low­er jaw.

To the point

Top 5 Caus­es of Poor Pos­ture: Avoid Them to Keep Your Back Straight

How to wear a Shants collar for cervical osteochondrosis

The Shants col­lar should be worn on a clean and dry neck. Not for clothes! Whether the col­lar is cor­rect­ly worn is easy to check. If a fin­ger pass­es between the col­lar and the neck, then the ortho­sis is fixed cor­rect­ly.

If the Shants col­lar is well cho­sen, it touch­es the col­lar zone at the back, reach­es the base of the skull from above, sup­ports the low­er jaw in front, and the bot­tom rests against the col­lar­bone. In this posi­tion, the head will not be able to bend and tilt back.

To enhance the effect, you can do a light neck mas­sage before putting on the Shants col­lar.

How much to wear a neck brace, the attend­ing physi­cian decides. Dur­ing exer­cise ther­a­py, before going to bed and dur­ing the day­time in a prone posi­tion, the col­lar is removed.

If the Shants col­lar is used for pre­ven­tive pur­pos­es, it should be worn when there is a long seden­tary work or phys­i­cal activ­i­ty.

If you feel dis­com­fort or pain, remove the neck brace and con­sult a doc­tor.

You should not abuse the help of the Shants col­lar, as this can lead to atro­phy of the neck mus­cles or smooth­ing of the cer­vi­cal lor­do­sis.

On a note

Osteo­poro­sis: why bones become brit­tle with age and how to pro­tect them

Reviews of doctors about the Shants collar

- The Shants Col­lar is an aid in help­ing with acute pain in the neck caused by trau­ma, degen­er­a­tive lesions or mus­cu­lar ton­ic syn­drome.

The dura­tion of wear­ing a Shants col­lar can range from sev­er­al days to sev­er­al weeks. When pain decreas­es, it is nec­es­sary to reduce the time of wear­ing the device, and then stop using it. Oth­er­wise, mus­cle atro­phy may occur.

It is nec­es­sary to use a cer­vi­cal ortho­sis accord­ing to the doc­tor’s pre­scrip­tion and under his super­vi­sion. Pain in the neck can be caused by seri­ous dis­eases, so delay­ing the diag­no­sis will only aggra­vate the dis­ease.².

I, as a rheuma­tol­o­gist, rec­om­mend wear­ing the Shants col­lar quite rarely and only if there are cer­tain grounds for it. For exam­ple, with a pro­tract­ed inflam­ma­to­ry process in the cer­vi­cal spine with spondy­loarthri­tis, rheuma­toid arthri­tis. In these cas­es, a neck brace can be of some ben­e­fit. When the load is dis­trib­uted between the ver­te­brae and the col­lar, con­di­tions are cre­at­ed for a tem­po­rary reduc­tion in pain. When the inflam­ma­tion sub­sides, the need to wear a Shants col­lar dis­ap­pears, explains rheuma­tol­o­gist Alexan­der Elon­akov.

Good to know

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Popular questions and answers

Rheuma­tol­o­gist Alexan­der Elon­akov answers pop­u­lar ques­tions regard­ing the Shants col­lar.

Sources:

1. Phys­i­cal reha­bil­i­ta­tion of patients with cer­vi­cal osteo­chon­dro­sis. Voronyan­skaya L.K., Evsyuti­na V.B. Kharkiv State Acad­e­my of Phys­i­cal Cul­ture, 2010. https://cyberleninka.ru/article/n/fizicheskaya-reabilitatsiya-bolnyh-sheynym-osteohondrozom/viewer
2. Unob­vi­ous facts about cer­vi­cal osteo­chon­dro­sis. diag­nos­tic errors. Med­ical Bul­letin, 2021. https://medvestnik.by/konspektvracha/neochevidnye-fakty-o-shejnom-osteokhondroze-diagnosticheskie-oshibki
3. A mod­ern view on the prob­lem of pain in the spine. Markin S.P. RMJ No. 11, 2009. https://www.rmj.ru/articles/nevrologiya/Sovremennyy_vzglyad_na_problemu_boli_v_pozvonochnike/